Hospital Reimbursement Expert Witnesses
Hospital reimbursement expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on hospital reimbursement. The hospital reimbursement expert witness listings on this page are typically from fields/areas of expertise such as: Hospitalist and Medical Coding.
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Matthew K. Turner, MD, CCDS
Clinical Validation & DRG
TCD Consulting, LLC
Roseville, Minnesota
Hospitalist, Medical Coding
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clinical validation, DRG validation, inpatient versus observation, hospital reimbursement, physician advisor, CDI, diagnosis denial, documentation adequacy, utilization management, auditor denials, AKI, malnutrition, acute respiratory failure, encephalopathy, sepsis, CDI query compliance, level of care, DRG reassignment
Matthew K. Turner, MD, CCDS is a board-certified internal medicine physician, actively practicing hospitalist, and physician advisor who serves as system medical director for clinical documentation integrity (CDI) in a large integrated health system. His work centers on clinical validation, DRG validation, documentation adequacy, level-of-care determinations, and payer or auditor disputes involving hospital reimbursement.
Since 2020, Dr. Turner’s work has included both CDI and utilization management physician-level review. In his CDI leadership roles, he has performed more than 500 physician-level clinical validation reviews involving provider-disputed queries, escalations, and prospective query appropriateness consultations; reviewed more than 100 auditor-initiated diagnosis denials since 2022 in which denial of a specific diagnosis typically resulted in DRG reassignment and reduced reimbursement; and prepared written clinical justifications and participated in peer-to-peer discus...
